| NPI | 1326353822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35180) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19195) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-05-19 |